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1007 Mary Street Waycross GA 31501 | |
| (912) 449-7147 | |
| (912) 449-7089 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1007 Mary Street, Waycross, Georgia |
| Authorized Official Name and Position | Henry Lynn Simpson (PHARMACIST IN CHARGE) |
| Authorized Official Contact | 9124497147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1007 Mary Street Waycross GA 31501 Ph: (912) 449-7147 | 1007 Mary Street Waycross GA 31501 Ph: (912) 449-7147 |
| NPI Number | 1073568838 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 09/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073568838 | NPI | - | NPPES |
| 00611014A | Medicaid | GA | |
| PHRE005641 | Medicaid | GA | |
| 1115775 | Other | NABP |
Yvonne Thomas Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 Crescent St, Waycross, GA 31501 Phone: 912-283-5715 Fax: 912-449-7060 | |
Paresh K Thanki, Md, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1707 Boulevard Sq Ste A, Waycross, GA 31501 Phone: 912-490-0078 Fax: 912-490-0083 | |
Joletha Williams Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Mcdonald St, Waycross, GA 31503 Phone: 912-283-8587 | |
Cls Comp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3201 Harris Rd, Waycross, GA 31503 Phone: 912-449-7851 Fax: 912-449-7060 |